BTEP

Pain and Pain

Medications

Teaching About Pain Medications

#1 What do people want to know?

#2 What do you want to teach?

#3 YOUR biggest challenges?

Benefits

Risks

Alternatives

Intuition

Nothing

Good

Understand?

Tummy

Trade-Offs

Desired Effect

Less pain

Sleep

Less suffering

Better experience

Better memories

Less anxiety

Trade-Offs?

More technology required to

keep mom & baby safe

More needles

More augmentation

Restricted movement

Less active participation

Medication gets to baby

Doesn’t work as expected

Participation

?

Give

Accurate

Information

+ Exhaustion

+ Stretch

+ Tension

+ Pressure

= PAIN

Labor Pain Is..

Purposeful

Anticipated

Intermittent

Normal

Pain Coping Scale

Something needs to change!

Analgesia vs. Anesthesia

Analgesia: Pain is still perceived, but is no longer

painful.

Anesthesia The loss of bodily sensation.

Systemic Affects the entire body

Regional Pain relief stays within a

region

Local Pain relief is within a small

area

Sleep Aids

Sedatives

Narcotics

Epidural

Spinal

General

Anesthesia

Sleep Aids and Sedatives

Narcotics

Narcotics

Epidural

Contractions

Contractions After the Epidural

Epidural Toolkit

Epidural Placement

What the Epidural Looks Like

Epidural Highway

(toll road) Epidural Emotions

Relief from pain

Relief from anxiety

Partners are relieved

Chatty/happy “I love the

epidural”

Boredom

Lack of motivation

Other aches & pains

The “Rollover” (20-30 minutes in each position)

1. Semi-sitting

2. Side-lying, left side

3. Semi-prone, left side

4. Hands and knees or kneel over the ball

5. Semi-prone, right side

6. Side-lying, right side

The “Rollover” (20-30 minutes in each position)

1. Semi-sitting

The “Rollover” (20-30 minutes in each position)

2. Side-lying, left side

The “Rollover” (20-30 minutes in each position)

3. Semi-prone, left side

The “Rollover” (20-30 minutes in each position)

4. Hands and Knees

The “Rollover” (20-30 minutes in each position)

5. Semi-prone, right side

The “Rollover” (20-30 minutes in each position)

6. Side-lying, right side

Second Stage with an Epidural

Use the electronic fetal monitor for

bio-feedback

Use the EFM tracing to

•guide bearing down efforts

•give incentive and “biofeedback”

•“I did it!”

Second Stage with an Epidural

Use the “tug-of-war” move to increase pushing effectiveness

General Anesthsia

Local Anesthesia

THE END

THANK YOU!

What’s In It For Me?

What Might Hurt Me or My Baby?

Physical and Emotional Support During Administration of the Epidural

.

What’s the Experience of Laboring with

Pain Meds?